[S EE R ULE 4 7]
APPLICATION FOR REGISTRATION OF A MOTOR VEHICLE
(To be made in duplicate if the vehicle is held under an agreement of Hire-Purchase/Lease/Hypothecation and duplicate copy with the endorsement of the Registering Authority to be returned to the Financier simultaneously on Registration of motor vehicle)
To
The Registering Authority,
………………………………
1. Full name of person to be registered as Registered owner
Son / Wife / Daughter of
2. Age of person to be registered as Registered owner
3. Permanent address
(Electoral Roll / Life Insurance Policy / Passport / Pay Slip issued by any office of the Central Government/State Government or a local body/Any other document or documents as may be prescribed by the State
Government/Affidavit sworn before an Executive Magistrate or a First Class Judicial Magistrate or a Notary Public to be enclosed)
:
………………………………………………………………
: ………………………………………………………………
: ………………………………………………………………
: ………………………………………………………………
……………………………………………………………….
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4.
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Temporary address/Official address, if any
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5.
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Duration of stay at the present address
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……………………………………………………………….
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6.
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PAN Number (Optional)
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……………………………………………………………….
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7.
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Place of birth
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………………………………………………………………
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8.
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If place of birth is outside India, when
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……………………………………………………………….
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migrated to India
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9.
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****
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10. Name and address
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of the Dealer or
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………………………………………………………………
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Manufacturer from whom the vehicle was
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………………………………………………………………
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purchased (sale certificate and certificate of
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road worthiness issued by the manufacturer to
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………………………………………………………………
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be enclosed)
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11. If ex-army vehicle
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or imported vehicle,
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………………………………………………………………
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enclose proof. If
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locally manufactured
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………………………………………………………………
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Trailer/Semi-Trailer,
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enclose the approval
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of design by the State Transport Authority ………………………………………………………………
***- S.N O 9 - O MITTED VIDE G. S.R 708(E) DATED 30.08.2010
21. Maker’s classification or if not known, : ………………………………………………………………
wheel base
22. Chassis No. (Affix pencil print) : ………………………………………………………………
23. Engine Number or Motor Number in case : ………………………………………………………………
of Battery Operated Vehicles
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24.
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Seating capacity (including driver)
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………………………………………………………………
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25.
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Fuel used in the engine
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………………………………………………………………
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26.
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Unladen weight
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……………………………………………………………….
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27. Particulars of previous registration and : ……………………………………………………………….
registered number (if any)
28. Colour or colours of body wings and : ………………………………………………………………
front end
I hereby declare that the motor vehicle has not been registered in any State in India.
ADDITIONAL PARTICULARS TO BE COMPLETED ONLY IN THE CASE OF TRANSPORT VEHICLES
OTHER THAN MOTOR CAB
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29. Number, description, size and ply rating of
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tyres, as declared by the manufacturer
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= ……………………………………………………….
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(a) Front axle
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(b) Rear axle
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= ……………………………………………………. …
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(c) Any other axle
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= ……………………………………………………….
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(d) Tandem axle
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= ……………………………………………………….
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30. Gross vehicle weight
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……………………………………………………… ..Kgms
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(a) As certified by manufacturer
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(b) To be registered
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……………………………………………………… ..Kgms
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31. Maximum axle weight
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= ………………………………………………………..Kgms
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(a) Front axle
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(b) Rear axle
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= ……………………………….. ………………………Kgms
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(c) Any other axle
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= ………………………………………………………..Kgms
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(d) Tandem axle
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= ………………………………………………………..Kgms
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32.(a) Overall length
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………………………………………………………………
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(b) Overall width
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………………………………………………………………
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(c) Overall height
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………………………………………………………………
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(d) Over hang
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………………………………………………………………
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The above particulars are to be filled in for a rigid frame motor vehicle of two or more axles for an articulated vehicle of three or more axles or, to the extent applicable, for trailer, where a second semi-trailer or additional semi-trailer are to be registered with an articulated motor vehicle. The following particulars are to be furnished for each such semi-trailer.
33. Type of body
34. Unladen weight
35. Number, description and size of tyres on each axle
36. Maximum axle weight in respect of each axle
37. The vehicle is covered by a valid certificate of Insurance under Chapter XI of the Act
38. The vehicle is exempted from insurance. The relevant order is enclosed.
: ………………………………………………………………
: ……………………………………………………………….
: ………………………………………………………………
………………………………………………………………
: ……………………………………………………………….
: Insurance Certificate or Cover Note No…………………….. dated…………………………. of…………………………...
……………………………… . (Name of company) valid from …………………………to……………………………
: ……………………………………………………………….
39. I have paid the prescribed fee of Rs. : ……………………………………………………………..
Date……………………………… Signature or thumb impression of the person to be registered
as registered owner.
N O TE .- The motor vehicle above described is –
(i) Subject to Hire-purchase agreement/lease agreement with …………………………………………
……………………………………………………………………………………………………….
(ii) Subject to Hypothecation in favour of ……………………………………………………………...
…………… ..………………………………………………………………………………………..
(iii) Not held under Hire-purchase agreement, or lease agreement or subject to Hypothecation.
Strike out whatever is inapplicable. If the vehicle is subject to any such agreement the signature of the Financier with whom such agreement has been entered into is to be obtained.
…………………………………………… ………………………………………….
Signature of the financier with whom an Agreement Signature or thumb impression of the
of Hire-purchase, Lease or Hypothecation has been registered owner
entered into
CERTIFICATE OF INSPECTION OF MOTOR VEHICLE
Certified that the particulars contained in the application are true and that the vehicle complies with the requirements of the Motor Vehicles Act, 1988, and the Rules made thereunder.
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Date…………………………….
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Signature of the Inspecting Authority
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Ref.No…………………………
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Name………………………………………….
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Designation……………………………………
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OFFICE ENDORSEMENT
Office of the………………………………..
The above said motor vehicle has been assigned the Registration number ………………………………….
and registered in the name of the applicant and the vehicle is subject to an agreement of Hire-purchase/ Lease/ Hypothecation with the Financier referred above.
Date………………………….. Signature of the Registering Authority
To
The Financier………………………………………………………………………………………..
……………………………………………………………………………………………………………… ..
(To be sent by Registered Post Acknowledgment Due)
Specimen signature or thumb-impression of the person to be registered as Registered Owner and Financier are to be obtained in original application for affixing and attestation by the Registering Authority with office seal in Forms 23 and 24 in such a manner that the part of impression of seal or a stamp and attestation shall fall upon each signature.
Specimen signature of the Financier
Specimen signature of the Registered Owner
(1)……………………………………………………..
(1)………………………………………………………
(2)……………………………………………………...
(2)………………………………………………………
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